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South Dakota rates for HCPCS 77423

High Energy Neutron Radj Tx Dlvr 1/> Isocenter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.00 / $244.00 / $244.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $144.28 / $180.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.17 / $134.71 / $217.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.82 / $175.66 / $540.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.73 / $169.58 / $300.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.56 / $202.02 / $300.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.52 / $106.18 / $347.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.85 / $138.00 / $198.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.80 / $132.69 / $132.69